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Health and Social Care (Community Health and Standards) Bill


Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 6 — Social services: functions of National Assembly for Wales

    36

 

 92    Studies as to economy, efficiency etc

     (1)    The Assembly may promote or undertake comparative or other studies

designed to enable it to make recommendations—

           (a)           for improving economy, efficiency and effectiveness in the discharge

by local authorities in Wales of their social services functions;

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           (b)           for improving the management of such local authorities in the

discharge of those functions.

     (2)    The Assembly may also promote or undertake studies designed to enable it to

prepare reports as to the impact of the operation of any particular statutory

provisions on economy, efficiency and effectiveness in the discharge by local

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authorities in Wales of their social services functions.

     (3)    The Assembly must publish or otherwise make available—

           (a)           any recommendations made by it under subsection (1); and

           (b)           a report on the result of any studies under this section.

     (4)    The Assembly and the Audit Commission must co-operate with each other

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with respect to the exercise of their respective functions under this section and

sections 33 and 34 of the Audit Commission Act 1998 (c. 18).

 93    Additional functions

The Assembly shall have such additional functions in relation to the provision

of Welsh local authority social services as—

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           (a)           correspond to functions conferred on the CSCI by or under this Act;

and

           (b)           are specified by the Assembly in regulations.

 94    General considerations

     (1)    This section applies for the purpose of the exercise by the Assembly of its

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functions—

           (a)           under sections 89 to 92; and

           (b)           under regulations under section 93.

     (2)    The Assembly shall be concerned in particular with—

           (a)           the availability of, and access to the services;

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           (b)           the quality and effectiveness of the services;

           (c)           the management of the services; and

           (d)           the economy and efficiency of their provision and their value for

money;

           (e)           the need to safeguard and promote the rights and welfare of children;

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and

           (f)           the effectiveness of measures taken by local authorities for the purpose

specified in paragraph (e).

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 6 — Social services: functions of National Assembly for Wales

    37

 

Ancillary powers

 95    Right of entry

     (1)    A person authorised to do so by the Assembly may, if the Assembly considers

it necessary or expedient for the purposes of this Chapter, at any reasonable

time enter and inspect any relevant premises.

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     (2)    In subsection (1) “relevant premises” means premises—

           (a)           which are used, or proposed to be used, by any person for any purpose

in connection with the provision of a Welsh local authority social

service, or

           (b)           which the Assembly reasonably believes to be so used, or proposed to

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be so used,

            but does not include premises used wholly or mainly as a private dwelling.

     (3)    A person who proposes to exercise any power of entry or inspection conferred

by this section must if so required produce some duly authenticated document

showing his authority to exercise the power.

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 96    Right of entry: supplementary

     (1)    A person authorised by virtue of section 95 to enter and inspect premises may,

if he considers it necessary or expedient for the purposes of this Chapter—

           (a)           inspect and take copies of any documents or records (including

personal records) relating to the discharge by the local authority of its

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social services functions;

           (b)           inspect any other item and remove it from the premises;

           (c)           interview in private—

                  (i)                 any person working at the premises; or

                  (ii)                any person accommodated or cared for there who consents to

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be interviewed; and

           (d)           make any other examination into the state and management of the

premises and treatment of persons accommodated or cared for there.

     (2)    The power in subsection (1)(a) includes—

           (a)           power to require any person holding or accountable for documents or

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records kept on the premises to produce them; and

           (b)           in relation to records which are kept by means of a computer, power to

require the records to be produced in a form in which they are legible

and can be taken away.

     (3)    A person authorised by virtue of subsection (1)(a) to inspect any records is

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entitled to have access to, and to check the operation of, any computer and any

associated apparatus or material which is or has been in use in connection with

the records in question.

     (4)    A person authorised by virtue of section 95 to enter and inspect premises

may—

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           (a)           require any person to afford him such facilities and assistance with

respect to matters within the person’s control as are necessary to enable

him to exercise his powers under section 95 or this section;

           (b)           take such measurements and photographs and make such recordings

as he considers necessary to enable him to exercise those powers.

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Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 6 — Social services: functions of National Assembly for Wales

    38

 

     (5)    Any person who without reasonable excuse—

           (a)           obstructs the exercise of any power conferred by section 95 or this

section, or

           (b)           fails to comply with any requirement of section 95 or this section,

            is guilty of an offence and liable on summary conviction to a fine not exceeding

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level 4 on the standard scale.

 97    Power to require information

     (1)    The Assembly may at any time require any person specified in subsection (2)

to provide it with any information, documents, records (including personal

records) or other items—

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           (a)           which relates or relate to the discharge by a local authority in Wales of

its social services functions; and

           (b)           which the Assembly considers it necessary or expedient to have for the

purpose of any of its functions under this Chapter.

     (2)    The persons referred to in subsection (1) are—

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           (a)           the local authority;

           (b)           a person providing a Welsh local authority social service for the

authority; or

           (c)           any NHS body.

     (3)    The power in subsection (1) to require the provision of information includes, in

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relation to records kept by means of a computer, power to require the

provision of the records in legible form.

     (4)    Any person who without reasonable excuse fails to comply with any

requirement imposed by virtue of this section is guilty of an offence and liable

on summary conviction to a fine not exceeding level 4 on the standard scale.

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 98    Power to require explanation

     (1)    The Assembly may by regulations make provision requiring prescribed

persons to provide to the Assembly, or to persons authorised by it, an

explanation of—

           (a)           any documents, records or items inspected, copied or produced under

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sections 95 to 97,

           (b)           any information provided under those sections, or

           (c)           any matters which are the subject of the exercise of any functions of the

Assembly under this Chapter,

            in cases where the Assembly considers the explanation necessary or expedient

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for the purposes of this Chapter.

     (2)    Regulations under subsection (1) may require explanations to be provided at

such times and places as may be prescribed.

     (3)    Any person who without reasonable excuse fails to comply with any

requirement imposed by virtue of this section is guilty of an offence and liable

40

on summary conviction to a fine not exceeding level 4 on the standard scale.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    39

 

Chapter 7

Functions under the Care Standards Act 2000

Functions of CHAI and CSCI

 99    Transfer of functions to CHAI and CSCI

     (1)    The functions of the National Care Standards Commission under Part 2 of the

5

Care Standards Act 2000 (c. 14) (registration and standards) are transferred in

accordance with this section.

     (2)    Its functions under that Part are transferred to the CHAI insofar as they relate

to—

           (a)           independent hospitals;

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           (b)           independent clinics; and

           (c)           independent medical agencies.

     (3)    Its functions under that Part are transferred to the CSCI insofar as they relate

to—

           (a)           children’s homes;

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           (b)           care homes;

           (c)           residential family centres;

           (d)           domiciliary care agencies;

           (e)           nurses agencies;

           (f)           fostering agencies;

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           (g)           voluntary adoption agencies; and

           (h)           adoption support agencies.

 100   General functions of CHAI

In the Care Standards Act 2000, after section 5 insert—

       “5A            General duties of Commission for Healthcare Audit and Inspection

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           (1)           The Commission for Healthcare Audit and Inspection (referred to in

this Act as “the CHAI”) shall have the general duty of keeping the

Secretary of State informed about—

                  (a)                 the provision in England of independent health services; and

                  (b)                 in particular, the availability and quality of the services.

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           (2)           The CHAI shall have the general duty of encouraging improvement in

the quality of independent health services provided in England.

           (3)           The CHAI shall make information about independent health services

provided in England available to the public.

           (4)           When asked to do so by the Secretary of State, the CHAI shall give him

35

advice or information on such matters relating to the provision in

England of independent health services as may be specified in his

request.

           (5)           The CHAI may at any time give advice to the Secretary of State on—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    40

 

                  (a)                 any changes which the CHAI thinks should be made, for the

purpose of securing improvement in the quality of independent

health services provided in England, in the standards set out in

statements under section 23;

                  (b)                 any other matter connected with the provision in England of

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such services.

           (6)           In the exercise of its functions under this Act the CHAI must have

particular regard to the need to safeguard and promote the rights and

welfare of children.

           (7)           The Secretary of State may by regulations confer additional functions

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on the CHAI in relation to the provision in England of independent

health services.

           (8)           In this section “independent health services” means services of the kind

provided by persons for whom the CHAI is the registration authority.”

 101   General functions of CSCI

15

In the Care Standards Act 2000 (c. 14), after section 5A (inserted by section 100

above) insert—

       “5B            General duties of Commission for Social Care Inspection

           (1)           The Commission for Social Care Inspection (referred to in this Act as

“the CSCI”) shall have the general duty of keeping the Secretary of State

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informed about—

                  (a)                 the provision in England of registered social care services; and

                  (b)                 in particular, the availability and quality of the services.

           (2)           The CSCI shall have the general duty of encouraging improvement in

the quality of registered social care services provided in England.

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           (3)           The CSCI shall make information about registered social care services

provided in England available to the public.

           (4)           When asked to do so by the Secretary of State, the CSCI shall give him

advice or information on such matters relating to the provision in

England of registered social care services as may be specified in his

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request.

           (5)           The CSCI may at any time give advice to the Secretary of State on—

                  (a)                 any changes which the CSCI thinks should be made, for the

purpose of securing improvement in the quality of registered

social care services provided in England, in the standards set

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out in statements under section 23;

                  (b)                 any other matter connected with the provision in England of

registered social care services.

           (6)           In the exercise of its functions under this Act the CSCI must have

particular regard to the need to safeguard and promote the rights and

40

welfare of children.

           (7)           The Secretary of State may by regulations confer additional functions

on the CSCI in relation to the provision in England of registered social

care services.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    41

 

           (8)           In this section, “registered social care services” means services of the

kind provided by persons for whom the CSCI is the registration

authority.”

 102    Fees

     (1)    The Care Standards Act 2000 (c. 14) is amended as follows.

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     (2)    After section 113 insert—

       “113A   Fees payable under Part 2

           (1)           The CHAI and the CSCI may each from time to time make and publish

provision determining the amount of any fee payable to it under Part 2.

           (2)           Provision under subsection (1) may include provision—

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                  (a)                 for different amounts to be payable in different cases, or classes

of case;

                  (b)                 for different amounts to be payable by persons of different

descriptions.

           (3)           Before the CHAI or the CSCI makes any provision under subsection (1)

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it must consult such bodies as appear to it to be representative of the

persons liable to pay the fee.

           (4)           No provision may be made under subsection (1) without the consent of

the Secretary of State.

           (5)           If the Secretary of State considers it necessary or desirable to do so, he

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may by regulations make provision determining the amount of a fee

payable to the CHAI or the CSCI under Part 2 instead of the amount for

which provision is made under subsection (1).

           (6)           Before making any regulations under subsection (5) in respect of fees

payable to the CHAI or the CSCI, the Secretary of State shall consult

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that body and such other persons as appear to him to be appropriate.”

     (3)    In section 12 (applications for registration), in subsection (2), for “a fee of the

prescribed amount” substitute “a fee of the amount determined under section

113A, where the registration authority is the CHAI or the CSCI, or of the

prescribed amount, where the registration authority is the Assembly.”

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     (4)    In section 15 (other applications), in subsection (3) for “a fee of such amount as

may be prescribed” substitute “a fee of—

                  (a)                    the amount determined under section 113A, where the

registration authority is the CHAI or the CSCI; or

                  (b)                    the prescribed amount, where the registration authority is the

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Assembly.”

     (5)    In that section, in subsection (5)—

           (a)           for “subsection (3)” substitute “subsection (3)(b)”; and

           (b)           for “the registration authority” substitute “the Assembly”.

     (6)    In section 16 (regulations about registration), for subsection (3) substitute—

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           “(3)              Persons registered under this Part must also pay to the registration

authority, at such time as may be prescribed, an annual fee—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    42

 

                  (a)                 of such amount as may be determined under section 113A,

where the registration authority is the CHAI or the CSCI; and

                  (b)                 of such amount as may be prescribed, where the registration

authority is the Assembly.”

     (7)    In section 22(7)(i) (fees in respect of notification of variation of corporate

5

ownership etc), for the words from “of a fee” to the end substitute “, in respect

of any notification required to be made by virtue of paragraph (h), of a fee of—

                        (i)                           such amount as may be determined under section 113A,

where notification is made to the CHAI or the CSCI; or

                        (ii)                           the prescribed amount, where notification is made to the

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Assembly”.

Miscellaneous

 103   Meaning of “independent medical agency”

In section 2(4) of the Care Standards Act 2000 (c. 14) (an “independent medical

agency” does not include an independent clinic), after “clinic” insert “or an

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independent hospital”.

 104   Children’s homes providing secure accommodation

     (1)    In section 4 of the Care Standards Act 2000 (basic definitions), in subsection

(8)(a) (references to a description of establishment), after “children’s home”

insert “, a children’s home providing accommodation for the purpose of

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restricting liberty,”.

     (2)    In section 22 of that Act (regulations), in subsection (8) (regulations relating to

children’s homes)—

           (a)           omit paragraph (a), and

           (b)           in paragraph (b), for “mentioned in paragraph (a)” substitute “of

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restricting liberty”.

 105   Information and inspection

     (1)    Section 31 of the Care Standards Act 2000 (inspections by persons authorised

by registration authority) is amended as follows.

     (2)    After subsection (1), insert—

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           “(1A)              The power under subsection (1) to require the provision of information

includes—

                  (a)                 power to require the provision of copies of any documents or

records (including personal records); and

                  (b)                 in relation to records kept by means of a computer, power to

35

require the provision of the records in legible form.”

     (3)    In subsection (3)—

           (a)           in paragraph (b), for “(other than medical records)” substitute

“(including personal records)”; and

           (b)           in paragraph (d), for “employed” substitute “working”.

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     (4)    In subsection (6), omit “and inspect any medical records relating to his

treatment in the establishment”.

 

 

 
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